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Economic evaluation of specialist cancer and palliative nursing: a literature review

Douglass, H.R., Halliday, D., Normand, C.E., Corner, J., Bath, P.A., Beech, N., Clark, D., Hughes, P., Marples, R., Seymour, J.E., Skilbeck, J. and Webb, T. (2003) Economic evaluation of specialist cancer and palliative nursing: a literature review. International Journal of Palliative Nursing, 9 (10). pp. 424-428. ISSN 1357-6321

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Published Version: http://www.ijpn.co.uk/


Little progress has been made in economic evaluation of specialist cancer and palliative care nursing. A literature review of economic studies of clinical nurse specialists (CNSs) was undertaken to assess how the measurement of economic outcomes has been tackled in the literature to date. The initial search found 400studies. Abstracts from all the studies were reviewed but only 17studies met the basic criteria for inclusion, reporting primary cost and outcomes data, and clearly specifying the role of a CNS. All of the studies but one focused on direct patient care rather than other CNS roles and were undertaken alongside effectiveness studies. The economic evaluations considered only a narrow range of costs, but a wide range of outcomes. Specific nursing outcomes were only reported in a minority of studies. None of the studies reported cost-effectiveness ratios. However, CNS interventions were reported to be both less costly and more effective than alternative forms of care, negating the need for further cost-effectiveness analysis. Overall, the papers were not of good quality, reducing the validity of the findings. Robust economic evaluations of the CNS role need to be undertaken. These should involve nursing researchers and practitioners so that evaluations reflect the complex and multidimensional nature of CNS care and meet the required standard of evidence to influence practice.

Item Type: Article
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Social Sciences (Sheffield) > Information School (Sheffield)
Depositing User: Information Studies
Date Deposited: 14 Aug 2009 14:32
Last Modified: 14 Aug 2009 14:32
Published Version: http://www.ijpn.co.uk/
Status: Published
Publisher: Mark Allen Publishing
URI: http://eprints.whiterose.ac.uk/id/eprint/9134

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